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Research papers on Telemedicine and access to care

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  1. Revolutionizing Healthcare: How Telemedicine Is Improving Patient Outcomes and Expanding Access to Care

    Victor C. Ezeamii, O. Okobi, Hassana Wambai-Sani, et al. · 2024 · Cureus · 327 citations

    Telemedicine uses digital technologies to provide healthcare services remotely, greatly improving patient access, especially during crises like the COVID-19 pandemic. This systematic review investigates telemedicine's effects on patient outcomes, access to care, and its role in the evolving healthcare landscape. Relevant studies were identified using MeSH terms and keywords through electronic databases and manual reference list screenings. The selected empirical studies, both quantitative and qualitative, examined telemedicine across various patient populations. The review categorized findings into themes related to patient outcomes and access to care. Telemedicine was found to be a transfor

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  4. Telehealth Increases Access to Care for Children Dealing with Suicidality, Depression, and Anxiety in Rural Emergency Departments

    R. Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, et al. · 2020 · Telemedicine and e-Health · 61 citations

    Background: Targeted research efforts in implementation and evaluation of telemental health care for U.S. youth are needed to increase accessibility to care. Before telehealth, children and families may wait weeks for psychiatric evaluation. Introduction: Increasing numbers of pediatric patients are reporting the need for mental health care when they present to region's rural emergency departments (EDs). Outcomes of telemental health services were evaluated, with a focus on treatment throughput and referral. Materials and Methods: Observational 18-month program evaluation of outcomes for children age <18 years (N = 87) who received physical and mental health assessment by an ED physician. Ch

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  8. A Primary Care Telehealth Pilot Program to Improve Access: Associations with Patients' Health Care Utilization and Costs

    Kritee Gujral, J. Scott, Leena Ambady, et al. · 2021 · Telemedicine and e-Health · 23 citations

    Background: The Veterans Health Administration (VHA) piloted an innovative video telehealth program called Virtual Integrated Multisite Patient Aligned Care Teams (V-IMPACT) in fiscal year (FY) 2014. V-IMPACT set up one regional “hub” site where primary care (PC) teams provided regular PC through telehealth services to patients in outlying “spoke” sites that experienced gaps in provider coverage. We evaluated associations between clinic-level adoption of V-IMPACT and patients' utilization and VHA's costs for primary, emergency, and inpatient care. Materials and Methods: This observational study used repeated cross-sections of 208,612 unique veteran patients assigned to a PC team in 22 V-IMPA

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  9. Enhancing Rural Population Health Care Access and Outcomes Through the Telehealth EcoSystem™ Model

    B. Leath, Lucenia W. Dunn, Antwon Alsobrook, et al. · 2018 · Online Journal of Public Health Informatics · 21 citations

    The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for socioeconomic revitalization, connectivity, interoperability and technology infrastructure development to address health equity for rural underserved communities. Two guiding frameworks, Community & Economic Development (CED) and Collective Impact, provided the foundation for the Telehealth EcoSystem™ model. Public and private organizational capacities are addressed by comprehensive healthcare and social service delivery through stakeholder engagement and collaborative decision-making processes. A focus is maintained on economic recovery and policy reforms that enhance population health outcomes for

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  10. Improving Specialty Care Access via Telemedicine

    G. Burke, K. Osman, S. Lew, et al. · 2022 · Telemedicine and e-Health · 16 citations

    Introduction: Telehealth is a potential solution to persistent disparities in health and health care access by eliminating structural barriers to care. However, its adoption in urban underserved settings has been limited and remains poorly characterized. Methods: This is a prospective cohort study of patients receiving telemedicine (TM) consultation for specialty care of diabetes, hypertension, and/or kidney disease with a Federally Qualified Health Center (FQHC) as the originating site and an academic medical center (AMC) multispecialty group practice as the distant site in an urban setting. Primary data were collected onsite at a local FQHC and an urban AMC between March 2017 and March 202

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  11. Improving access to maternal care in Africa through telemedicine and digital health.

    W. Bilal, P. Mohanan, Z. Rahmat, et al. · 2022 · The International journal of health planning and management · 14 citations

    Access to maternal health care is limited for women in Africa, while it remains a crucial determinant of maternal mortality and morbidity. The utilization of telemedicine and digital health can help remove barriers to access through economical and geographical convenience. In addition, feasible frameworks operating on themes such as technology, user acceptance, short-term and long-term funding, organizational factors, and political and legislative aspects can help overcome implementation challenges that persist in Africa and permit maximal utilization of telehealth to enhance maternal outcomes.

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  12. The Impact of Telehealth Expansion on Health Care Utilization, Access, and Outcomes During the Pandemic: A Systematic Review

    Deirdre A. Colburn · 2024 · Telemedicine and e-Health · 12 citations

    Introduction: The COVID-19 pandemic brought unprecedented change to the health care industry, including a large and rapid shift to providing care through telehealth technologies. Although the expansion of telehealth services was successful in continuing to provide patients with care while preventing the spread of disease, it is less clear how patient sociodemographic characteristics influenced telehealth use during this time. This study aims to systematically review the published literature on demographic differences in telehealth access, utilization, and health outcomes among a variety of adult patient types in the United States. Methods: Litcovid, PubMed, Web of Science, and MEDLINE databa

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  13. Pediatric Telehealth Access and Utilization in Chicago During the First Year of the COVID-19 Pandemic

    K. Kronforst, L. Barrera, Mia T. Casale, et al. · 2023 · Telemedicine Journal and e-Health · 5 citations

    Background: The COVID-19 pandemic demanded rapid development of telemedicine services for pediatric care and highlighted disparities for marginalized communities. Objective: To understand the demographic characteristics of patients with completed and incomplete telemedicine visits at Ann and Robert H. Lurie Children's Hospital of Chicago. Methods: This was a cross-sectional retrospective analysis of telemedicine visits for patients <25 years old scheduled between March 21, 2020, and March 17, 2021. We examined visit outcomes and compared outcomes by race/ethnicity, language, and payer using logistic regression. Geographic information system mapping and linear regression were used to examine

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  16. Pediatric Telemedicine Consults to Improve Access to Intensive Care in Rural Environments.

    Rachel A. Umoren, K. Birnie · 2024 · Pediatric clinics of North America · 4 citations

    Recent advances in telehealth adoption prompted by the COVID-19 pandemic have highlighted the potential for improved intensive care outcomes through implementing pediatric telehealth in rural and remote settings. Telemedicine consults can be used in a variety of intensive care scenarios including procedural support, resuscitation, specialty consults, and transport. Telemedicine consults for pediatric care in rural environments improve access, cost-effectiveness, and family-centeredness. Challenges to adopting telemedicine consults for intensive care unit level care include issues around training, technology, resource allocation, and attention to how implementation exacerbate or improve healt

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  17. Improvement in Cardiovascular Outcomes Using Telemedicine to Support Medical Decision in Acute Coronary Syndrome: Experience of Prehospital Public Emergency Care Units in Brazil

    C. Rocon, Camila Pereira Pinto Toth, J. Ikawa, et al. · 2025 · Telemedicine and e-Health · 3 citations

    Background: Cardiovascular diseases are the leading cause of mortality and disability in Brazil and worldwide. Among them, acute coronary syndrome (ACS) stands out as an acute event requiring early diagnosis and intervention, which are decisive factors in the prognosis of these patients. Telehealth, through telediagnosis and cardiology teleconsultation, has emerged as a valuable tool for supporting early diagnosis and appropriate management of ACS cases in a country of continental dimensions and health care access disparities. Methods: A cardiological best-practices program implemented in partnership with the Brazilian Ministry of Health and a private tertiary hospital provided 24/7 tele-ele

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  19. Designing equitable telehealth solutions for outpatient surgical care in a safety-net population: a human-centered design approach

    L. Chehab, Diyah Mettupalli, Jenny Cevallos, et al. · 2025 · BMC Health Services Research · 2 citations

    The SARS CoV-2 (COVID-19) pandemic catalyzed a dramatic shift in healthcare delivery, with telemedicine emerging as a common mode of care provision. While pre-pandemic telemedicine services were more commonly used for preventive visits and had better adherence among younger and more affluent demographics, the landscape of telehealth in the post-pandemic period has shifted significantly to include surgical visits and publicly-insured patient populations. Without specific insights from patients and clinicians to guide this transition, telehealth delivery risks exacerbating disparities in access, experience and outcomes for medically underserved populations. We utilized a human-centered design

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  20. How Does Telehealth Expansion Change Access to Healthcare for Patients With Different Types of Substance Use Disorders?

    A. Tilhou, Marguerite Burns, Preeti Chachlani, et al. · 2024 · Substance use & addiction journal · 1 citations

    Background: Patients with substance use disorders (SUDs) exhibit low healthcare utilization despite high medical need. Telehealth could boost utilization, but variation in uptake across SUDs is unknown. Methods: Using Wisconsin Medicaid enrollment and claims data from December 1, 2018, to December 31, 2020, we conducted a cohort study of telemedicine uptake in the all-ambulatory and the primary care setting during telehealth expansion following the COVID-19 public health emergency (PHE) onset (March 14, 2020). The sample included continuously enrolled (19 months), nonpregnant, nondisabled adults aged 19 to 64 years with opioid (OUD), alcohol (AUD), stimulant (StimUD), or cannabis (CannUD) us

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  21. Telemedicine virologic and immunologic outcomes in people living with HIV (PLWH) in a correctional setting during the SARS-CoV-2 pandemic

    D. Patel, Mahesh C Patel, Scott A. Borgetti, et al. · 2025 · BMC Infectious Diseases · 1 citations

    It is known that SARS-CoV-2 infection increases the risk of severe illness in patients who are immunocompromised as compared to the general public. To combat this issue, telemedicine was utilized to combat the issue of general access to care to decrease the risk of exposure of SARS-CoV-2 infection in various settings. However, there is very little data on adequate continuity of care (COC) and sustainability of telehealth throughout the SARS-CoV-2 pandemic. There is even less data on the effects of the SARS-CoV-2 pandemic in special populations, such as people living with human immunodeficiency virus (PLWH) who reside in the correctional setting. The purpose of this study was to investigate r

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  22. Intensive Telemedicine Transitions of Care Clinic: A Prospective Feasibility Study of a Novel Ambulatory Model Serving Appalachian Patients

    Jessica Thayer, Brett Miller, M. M. Liriano, et al. · 2025 · Journal of Appalachian Health · 1 citations

    Introduction Hospital discharge is a complex process plagued with medical errors and poor coordination. Disjointed discharges are detrimental to Appalachian patients with access barriers and multiple chronic diseases. Telehealth is a tool used to improve access within rural Appalachia. To address this high-risk transition period, an interprofessional team deployed telemedicine to improve post-hospital care for Appalachian patients. Purpose Patients with uncontrolled chronic medical conditions were enrolled into the Intensive Telemedicine Transition of Care Clinic (I-TTC) with a primary outcome of 30-day Emergency Department (ED) presentations and hospital readmissions. Secondary outcomes inc

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